Bag Tech (autosaved).docx

INTRODUCTION Community health bag is the carrier containing the tools , equipments and materials needed during the nurse’s visit to home for performing nursing interventions which include various diagnostic tests, demonstration of care and patient care activities. Community health bag made up of leather, canvas, or light metals .The material should be dark in colour washable and durable .It should be stable and should not be collapsed when placed over a surface.

DEFINITION 

The bag technique is a tool by which the nurse, during her visit will enable her to perform a nursing procedure with ease and deftness, to save time and effort with the end view of rendering effective nursing care to clients.



The public health bag is an essential and indispensable equipment of a public health nurse which she/he has to carry along during her home visits. It contains basic medication and articles which are necessary for giving care.

PURPOSE:  To carry equipment and material needed for home, school or industrial visit.  To carry equipment and materials that are needed to make tests and to demonstrate care such as dressing ,eye irrigation, injections, urine testing etc.  To perform nursing procedures and blood and urine investigations during visit.

PRINCIPLES OF BAG TECHNIQUE 

The nurse should use economical method of using supplies and equipments in bag appropriately.



Clean and dry the bag and articles before replacing it to the bag.



Clean and sterilize contaminated articles before returning to bag.



Keep sterile equipments in sterile compartment of the bag(top compartment).



Use the equipments and materials available in the home while carrying out the nursing procedures in home.



Teach the family members regarding nursing care be performed in home.



Follow the standing orders appropriately ,while providing care at home.



Follow aseptic technique through out the procedure.



Provide privacy and comfort when carrying out any procedure.



Maintain IPR (Inter –personnel Relationship) to the family.

EQUIPMENTS:

Outside pocket



Soap in a soap dish



Hand towel



Nail brush



Nail cutter



News paper



Newspaper bag



Apron



Pocket diary



Pen and pencil

Side pockets

Top compartment /sterile/clean



Measuring inch tape



Litmus paper



Filter paper



Talliqus ,Hb scale



News paper



Specimen bottles



1 pair of sterile gloves



Dressing pack (small bag with clean cotton or gauze)

compartment 

Bandages



Scissors -5 inch-1



Artery forceps -5 inch -1



Dissenting forceps- 4 inch/ thumb forceps -1



Hypodermic needles(g.19,22,23,25)



Disposable syringes with needles (g.23 and 25)



Slide -2



Steel kidney tray



Cotton and gauze pack



Solution bowl(small)-1



Drugs / medicine, lancet.



Solutions: 1. Benedict,s solution 2. Spirit 3. Betadine (povidone-iodine) 4. Acetic acid 5. Savlon or dettol

Lower compartments



Ounce glass/ measuring cup-1



Plastic kidney tray-1



Test tube and test tube holder-1



Medicine dropper -1



Spirit lamp



Spatula



Fetoscope



Match box



stethoscope

BP apparatus should be carried separately and are never placed in the bag.

Points to consider : 

The bag should contain all the necessary articles, supplies and equipment that will be used to answer the emergency needs.



The bag and its contents should be cleaned very often,the supplies replaced and ready for use anytime.



The bag and its contents should be well protected from contact with any article in the patient ‘s home.



Consider the bag and its contents clean And sterile,while articles that belong to the patients as dirty and contaminated.



The arrangement of the contents of the bag should be the one most convenient to the user,to facilitate efficiency and avoid confusion.



Don’t keep any personal things inside the bag such as books and snacks.



Protect the bag while using in the house from handling by children, from dust.

Bag technique procedure Nursing Procedure 

Upon

arrival

Rationale at

the

patient’s



home,place the bag on the table or in a clean paper.The clean side must be

To protect the bag from getting contaminated.



To prevent children or domestic animal getting in the way.

out and the folder part, touching the table. 

Select work area (clean and well lighted)



Spread news paper on a flat surface



To create a clean area.The remaining

and place bag in one corner of the

area of the news paper can be used to

news paper.

place articles from inside the bag for carrying out procedure



Make paper bag to receive soiled dressing and cotton.



Remove

the

watch

and

other

jewelries. 

Unbutton the outer lining of the bag and touch only the outer part and



To discard the waste

open the bag. 

Remove the articles from bag for hand washing.



Keep the towel and soap dish in aclean place near the washing area where water will drain off.



Wash hands with soap,scrub together



To prevent cross infection

for 20-30 seconds ,rinse hands and dry with clean towel. 

Put an apron if necessary.



To prevent contamination of uniform



Touch the inner part of the outer



Outer part of bag is contaminated.



Prevents contamination of equipment

cover to open the inner lining of the bag and keep the folds aside on both sides. 

Take out the necessary articles for the

and supplies

procedure and place on clean area of news paper without contaminating outside. 

Half cover the bag



Prevents exposure of articles inside the bag and prevents contamination.



Carry out the nursing procedure



Keep soiled swabs and waste in the



To discard waste later



Keep articles ready for next use.

paper bag and give for disposal to family members. 

Clean and wipe outside of used bottles and bowls with cotton swab moistened with spirit.



Boil the used instruments for 5



To disinfect the instruments



To prevent contaminating the bag



Keep article ready for next use.



Promotes

minutes and keep inside the bag. 

Place articles which are contaminated with infected material in a plastic cover in the outer part of the bag for autoclaving before replacing into the bag.



After procedure do hand washing.



Open

the

bag

and

replace

all

equipments to bag in proper place.

safe

disposal

of

contaminated waste. 

Close the inner lining and half close



the outer lining 

Bring soap dish and towel and replace them in pocket of side lining.



Touch the outer part of outer lining and close the bag.



Document

findings,procedure,



To evaluate nursing care given and plan for future visit.

instructions given and plan for next visit. 

Take out the bag



Take the news paper and fold it with



Used side is contaminated.

used side inside and place it in the side pocket and carry bag.

CONCLUSION Bag technique refers to the skill and knowledge in preparing and using the materials and equipment in the community health bag for performing various nursing interventions at home .

REFERENCES:

Books 1. Shincy George, “A Comprehensive Procedure Manual of Community Health Nursing”, EMMESS Medical publishers, First Edition ,2015: 3-7. 2. Shyamala D Manivannan, “Procedure Manual Community Health Nursing” ,CBS Publishers, First Edition,2016 : 7-8.

Internet

1. https://slideplayer.com/slide/12926720/

2. www.authorstream.com/Presentation/mubarakneo-1314155-bag/

3. https://www.slideshare.net/JailyMariano/bag-technique-24923808

MAR BASELIOS COLLEGE OF NURSING, BHOPAL

SUBJECT: COMMUNITY HEALTH NURSING ASSIGNMENT ON BAG TECHNIQUE

SUBMITTED TO :-

SUBMITTED BY

Mrs. Riya Joy

Mrs MarietAbraham

Assistant Professor

M.Sc. Nursing I Year Date : 27/ 03 / 2019